Organization Active NPI

Mingzhu Medical Office, P.C.

  • Primary Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1356993976
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MINGZHU MEDICAL OFFICE, P.C.
Practice address
5615 7TH Ave FL 2
Brooklyn, NY 11220-3509
Phone
(929) 283-5860
NPI assigned
Jul 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mingzhu Xu, MDNPI 1285864983
Title
President
Phone
(917) 374-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

5615 7TH Ave FL 2
Brooklyn, NY 11220-3509

Mailing address

5615 7TH Ave FL 2
Brooklyn, NY 11220-3509
Phone (929) 283-5860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200320001126 NY Part B Supplier - Clinic/Group Practice 5890123103 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2179514Mingzhu Medical Office PC5615 7TH Ave 2ND Floor, Brooklyn, NY 11220Certificate of waiverFeb 24, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570147200000",
    "number": "1356993976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 7TH AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203509",
            "telephone_number": "929-283-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 7TH AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203509",
            "telephone_number": "929-283-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINGZHU MEDICAL OFFICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-13",
        "last_updated": "2019-10-04",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "MINGZHU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-374-2100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.